DR. MARTIN EMIL JR. ANDERSON (M.D.) – Otolaryngology Physician, NPI 1467767855

DR. MARTIN EMIL JR. ANDERSON (M.D.) is a healthcare provider. based in Niles, Illinois. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 036141025 (IL). The NPI Number for DR. MARTIN EMIL JR. ANDERSON (M.D.) is 1467767855

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARTIN EMIL JR. ANDERSON (M.D.)
NPI
1467767855
Phone
(847) 674-5585
Address
8780 W GOLF RD
Enumeration Date
10 August 2010
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476745585
Graduation Year
2010 (16 years ago)
PAC ID
7012200934
Group Practice PAC ID
5294276259
Professional Enrollment ID
I20160729000010
Address ID
IL600688429PA2604XSTXX301

Contacts

Secure Messaging
manderson251828@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

488 OTOLARYNGOLOGY in IL

Provider Addresses for DR. MARTIN EMIL JR. ANDERSON (M.D.)

  • 8780 W GOLF RD

    SUITE 200

    NILES, IL 607145602

    Phone: (847) 674-5585

    Type: Mailing

  • 8780 W Golf Rd

    Suite 200

    Niles, IL 607145602

    Phone: (847) 674-5585

    Type: Location

  • 2604 DEMPSTER ST STE 501

    PARK RIDGE, IL 600688429

    Phone: (847) 674-5585

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($99).

Total Amount

$128

General + Research + Ownership

Payments

2

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160729000010IOtolaryngologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
69210Removal of impacted ear wax2220$0
99213Established patient office or other outpatient visit, 20-29 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 60714)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294276259View full group profile
NameSpecialtyState
Physician AssistantIL
O T O L A R Y N G O L O G YIL
O T O L A R Y N G O L O G YIL
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL
Qualified AudiologistWA
Nurse PractitionerIL
Qualified AudiologistIL
Qualified AudiologistIL
Qualified AudiologistIL

Reviews

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Frequently asked questions

What NPI should I save for DR. MARTIN EMIL JR. ANDERSON (M.D.)?
Save NPI 1467767855 if you need a stable reference for DR. MARTIN EMIL JR. ANDERSON (M.D.).
Is DR. MARTIN EMIL JR. ANDERSON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MARTIN EMIL JR. ANDERSON (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. MARTIN EMIL JR. ANDERSON (M.D.) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARTIN EMIL JR. ANDERSON (M.D.)?
The snapshot lists Niles, Illinois for DR. MARTIN EMIL JR. ANDERSON (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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